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A patient in their fifties shows marked personality change, disinhibition, and loss of empathy with relatively preserved memory early in the course. This MOST suggests:

• 1 A delirium caused by an acute medical illness or medication effect
• 2 A primary psychiatric depression producing reduced motivation only
• 3 A frontotemporal degeneration affecting behavior before memory ✓ 정답
• 4 Alzheimer disease presenting with prominent early episodic memory loss

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